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Home My WebLink AboutPermit Building 2010-10-20 . , S.P~INGFIE?ii. .,:t,q.~,.'. .. ~. ,.' OREGON www.ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/20/2010 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 ISSUED: 10/20/2010 APPLIED: 9/17/10 225 Fifth St Springfield.OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: 4/18/2011 VALUE: $112,323.00 SITE ADDRESS: 4853 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Residence OWNER: ADDRESS: SPRINGFIELD/EUGENE HABITAT FOR HUMANITY 1210 OAK PATCH RD EUGENE OR 97402 Phone Number: CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor Electrical Contractor Contractor Name SPECIALTY PLUMBING CO ALERT ELECTRIC INC lic Type CCB CCB Lie No 102974 12772 lic Exp 11121/2011 OS/29/2011 Phone 541-686-4191 541-747-2213 # of Units: Occupancy Type Construction Type 1 R3 Residen!iai Type VB # of Bedrooms: SprinkJed BuiJding: 2 No No Fire Alarms: Energy Path: Path 4A Zonal heat with 75% permanent fixtures fitted with CFL lights Engineered Fill: No Fill Volume: Flood Hazard Area: No land Hazard Area: No Retaining Wall: No Soils Report Required: No Springfield Building Permit BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 2 Wall Heat Electric Electric No Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information lot Size: Sq Ft1st Floor: Sq F12nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq FI Other: Occupancy load: ATTENTION: Oregon law requires youto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR Q52-001-001 0 through OAR 952-001- 0090 You may obtain copies of the rules by. . c6,9R~J the center. (Note: the telephone number for the Oregon Utility Notllicatlon ~ Center is 1-800-332-2344). 580 580 NOTICE: F THE WORK THIS PERMIT SHAll ET~~~JRMIT IS NOT AUTHORIZED UNDER FOR COMMENCED OR IS ABANDONED ANY 180 DAY PERIOD. 10/20/201 9:21:49AM Page 1016 SP:~:~;:~ ~OR'GON WWoN . ci. 5 pringfiel d. Or. U 5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci. springfield ,or. us PROJECT STATUS: Issued STATUS DATE: 10/20/2010 ISSUED: 10/20/2010 APPLIED: 9/17/10 EXPIRES: 4/18/2011 VALUE: $112,323,00 SITE ADDRESS: 4853 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Residence DEVELOPMENT INFORMATION I Frontyard Setback: 20 Interior Setback: 4 Side~ard Setback: 6.6 Rearyard Setback: 34 Solar Setback: Overlay Dist: # StreetTrees Reqd: 1 Paved Drive Reqd: Yes % of Lot Coverage: Highest point on structure to north property 'ine: 25 REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion R-3 1 & 2 family Tvpe of Construction VB Unit Amount Unit Tvpe 1,160.00 Sq Ft Unit Cost 96.83 Value 112,322.80 112,322.80 Springfield Building Permit 10/20/201 9:21 :49AM Page 2 of 6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 www.ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/20/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.U5 ISSUED: 10/20/2010 APPLIED: 9/17/10 EXPIRES: 4/18/2011 VALUE: $112,323.00 SITE ADDRESS: 4853 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101700 PROJECT DESCRIPTION: Single Family Residence "~J -":,&;:;;.:.;;;.,,;.;.- SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential I';-;""'~, ~":"^:'Yx""';"::f:; <'h;: i; ,~> ~::r:"'?J';~:')f~'7d~::~~>,:::,,.. .~. ~-:;t(~X:,"&M'}:'~:FEES7p.~IJ:ict""f2;;,:;;:~_';:'iy:2_Y ;;L'7':'f ,-':; ".;<~7L0~"2Jj~:::;,_~(("".-. DescriDtion SDC: Reimbursement Cost - MWMC Regional WastewatE SDC: Improvement Cost- MWMC Regional Wastewater ~ SDC: Compliance Cost -MWMC Regional Wastewater SI SDC: Administrative Fee - MWMC Regiona~ Wastewater: SDC: Total Transportation Administration Fee SDC: Reimbursement. Transportation SDC Structural Building~ermit Fee Planning ~ Major Review Admin fee (10% of applicable fees) First Appliance Fee Single-duct exhaust (bathrooms, toilet compartments, ~tili One or Two Family Dwelling with Two Bath Residential Fire (.05 Per Sq Foot) Address Assignment, each new or change Willamalane fees - Single family detached Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) sac: Reimbursement Cost - Sto~~ Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Total Sewer Administration Fee SDC: Improvement - Transportation SDC Structural Plan Review Fee Residential T<?tal Amount Paid Springfield Building Permit Amount Paid $101.97 $1,333.57 $22.63 $10.00 $113.01 $356.96 $761.66 $211.00 $5.80 $79.00 $27.00 $374.00 $58.00 $38.00 $3,468.00 $63.98 $149.00 $25.00 $134.00 $19.08 $7.95 $203.38 $490.71 $1.614.80 $869.20 $206.33 $1,383.63 $495.08 $12,622.7~ Date Paid 10/20/2010 10/20/2010 10/20/2010 10/20/2010 1 0/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 1 0/20/2010 10/20/2010 1 0/20/2010 1 0/20/2010 09/17/2010 ReceiDt # 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 374655 . 374655 374655 374655 374655 374655 374655 374343 10/20/201 9:21:49AM Page 3 of6 . . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/20/2010 ISSUED: 10/20/2010 APPLIED: 9/17/10 EXPIRES: 4/18/2011 VALUE: $112.323,00 SITE ADDRESS: 4853 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Residence E:;~. ..-, --:':-_'(dl ~~t'. ,-"'.- ."'*: ~~::-~,-, ."~:f=':-:<; ~~:Pt~;~'Revie.V:-:. ~T:r:T'-~:~.'~ .;~ .~.;;~p,,;:. ~~-::>:.v:. :<,.---, ... -..;~...,. T: J Deoartment Received Due Date Comoleted Result Reviewer Application Acceptance 09/17/2010 09/17/2010 09/24/2010 Application Accepted David Bowlsby Comments: Planning Review 09/24/2010 09/24/2010 10/01/2010 Approved Deyette Kelly Comments: Structural Review 09/24/~01 0 09/24/2010 10/19/2010 Approved Chris Carpenter Comments: Initial Review 09/24/2010 09/24/2010 09/24/2010 Approved David Bowlsby Comments: Public Works Review 10/01/2010 10/05/2010 10/04/2010 Approved Kaye Wilson Comments: Storm water to approved private grassy stormwater infiltration swale. Permit Issuance 10/19/2010 10/19/2010 10/20/2010 Issued Chris Carpenter Comments: Springfield Building Permit 10/20/201 9:21:49AM Page 4 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/20/2010 ISSUED: 10/20/2010 APPLIED: 9/17/10 EXPIRES: 4/18/2011 VALUE: $112,323.00 SITE ADDRESS: 4853 A ST,Springfield, OR 97477 ASSES OR'S PARCEL NO: 1702324101700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Residence INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1160 UFER Ground 1220 Underfloorframing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Mechanical. Prior to insulation or decking and induding required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 1999 Final Building 2200 Underfloor Mechanical 2300 Rough Mechanical 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains Springfield Building Permit 10f20f201 9:21:49AM Page 5 of6 SP~IN.GF IEL.~ .~ '?'::t't1J "'it ~.~ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00321 IVR Number: 811198579894 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspectior Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield , or. U 5 PROJECT STATUS: Issued STATUS DATE: 10/20/2010 ISSUED: 10/20/2010 APPLIED: 9/17/10 EXPIRES: 4/18/2011 VALUE: $112,323.00 SITE ADDRESS: 4853 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single Family Residence 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work IS complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. FbIZ-}-/'vl'1ft.-71 /6 '~-ID Date Springfield Building Permit 10/20f201 9:21:49AM Page 6 016 Structural Permit Application DEPARTMENT USE ONLY '"... 1--.,' , . '" '- ill ..' ~'\'l' ,~, '.' ~', ~k-" , 't,..;,-:;' :", CITY OFS.PRINGFlELD~'oR;EGpN:~;',""';t:,:~'.,:.,,:.;;.:: '.'~:'. SPRINGFIELD J.~",,,,,,;;;:,,., ~'1it~1t",,~jI~! ";"'~'_e'.~' ~, ""r, :;'\!,!l,\r1'il'J:'",i.,~..:.. WJ' '. 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~O.CA.I.'. "~9YE~NM~NfkM~~QVA~i.i'iti:~ii4::ni~~:i This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: 0 Yes 0 No ~);if.i(i*:!':i;~.~'<::ATEQ9i'ixi&dFi;CbN~fR.:Uc;f.lq~~i';H(i,!;~i;;'i4;iii'. Subdivision: Reference: I ZIP:'171t7~ 10 Sign here: S!GHPW CON~T, ~P/lV RACr R INSTAlLAnON. D!..J N Business name: Address: City: Phone: E-mail: CCB license no,: Print name: State: . ZIP: Fax: Signature: ....,{..:.-, , -~ ' ~, ;.::SUB-C0NTRACTOR.INFORMATI(jN"0;'~5',;c;c:5;).";. Name Electrical Plumbing Mechanical CCB License Number Phone Number ;.;'.;rFEE .'SCHEOLiLE't"; . -.i;:.y'~~.&:~:~~bii.:Ti~fol~l#~#p#{~i:~\.~;;"'::Wh~~~:~;i'j::Yi,;~~;:;~:iA;;-:':~;,:} .;',ct \,-;;",,:'\": \ (a) Job description: $1" I:' (,:.4_.1 .,..., .cl,....c:f' Occupancy 121 I/~ f Construction type: Square feet: 10 Cost per square foot: Other information: Type of Heat: Energy Path: .l311ew 0 alteration (b) Foundation-only permit? Total valuation: o addition Dyes 2No (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): $ (aJ Plan review (65% x permit fee [2a]): (bJ Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): {4_j,:Mi'~~c,eii~:~~'6,ns} f~.e~~:~1~,~:~':~~i;~'}.~~;>'::::~!::VL:,/?::.:/,-~:, -L':' : ~ ';' (a) Seismic fee, 1 % (.01 x pennit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ ~ 225 Fifth Streett Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689. , .'DE~ARTMENT USE ONLY e',_ ,.-..'",~.' ",e"":,<-",,,- -'.-, :,,' ,,'C',.' -f.-\'.'"T;''' .'" 2' DateJ D This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i'i,{~~tI[~~4!;LOCAl!j;GOVERNMENT~APf'ROVAl!.J?:;:\\r"';( Zoning approval verified? 0 Yes 0 No .,,:it~;;\~&7:~CA1:EGORYfOFttCONSTRUCTION,k\{,.'f{~\ ,. " e D Residential D Government D Commercial :..t~:;.i.:\\JOB..SITE.,INFORMATION.AND_..[OCATION. " Job site address: 'Ifr 3 A S''r City: FL.O ?'J Subdivision. I ~~ 32" I Lot no.: l'1tJc) i~:l1k!J~~~r!~~~~'~~;i~:~'DESCRIP.~TION!f()ff,i~WORKf)fE~'-\:r;,~;~]t~z:';;~:.'lJ~,'" C> City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). . Signature: ,\';'fi;,2'i\;;'~'i,CON1:RACTOR\INSTALL:.A1:ION.:~:, ces license no.: Signing supervisor's license no.: Print name of signing superviso Signature of signing supervisor: ~\:J~':J"'\). /) ~X' _~(Y \; ~t~ J~' 440.2584-J (9/G8/COM) 1:-.">':;'";,,,.; "FEE {SCHEDULE' '.'" .' c;, 1!"~r- '\i'1\~(.;;"~-;:;-'t~'''\6 :"',: 'i\hiJ;"~: "I' ", y"\" "'," ;,11','> lily: Cost Total ,~~tD~e:~~.f i~sp,~~.ti,ons'per,'i~~~ (J ': ea=' cost ;.."":1,,...J' ',,,_,..,~',,'..r',,.' ,c. "'..~ ".--.,' ,',C>,.. Residential, per unit, service included: 1,000 sq. ft. or less (4) , $134.00 $/71/ Each additional 500 sq. ft. or portion' I $ 25.00 $2,.\ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 t to 1,000 amps (2) $205.00 $ Over 1,000 ainps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: i,!stallatiol1, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 t to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts. see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ora service or feeder fec: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2). $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ Br"i!""">>"~t''''i'!l<i~;W"'APj:iIi.ICAIliT''l.ISE~;'';"~~''''''~>~>'''' ".f%;\~iit,r~~'i~'f~,.,':&\1\~Vi!{,.".a"sM, 'i"" , '~;;, ];'i,\@.,'..,if0-;i),W~:,€~~'\fi~~1l\~":;';';;XJ'! (A) Enter subtotal of above fees I S'tf (Minimum Permit Fee $58.00) $ (8) Enter 12% surcharge (.t2 x [A]) $/cro'T (e) Tcchnology Fec (5% of [A)) $ -7!! TOTAL fees and surcharges (A through C): $ /~(", 0.;_ R~ willamalane tlJ Park and Recreation District . Job. No. <;(0 - ") 2 ( SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME:,~-E'" tfA.,JJ-"....,~ ~~IV' 'TV PHONE: ADDRESS: JUt) ~ A4-Tc"cITY /:7U' STATEbX ZIP: q'!I.!{J2- LOCATION OF PROPOSED BUILDING SITE: Street Address: '1'tr3 A- s r Plat Name: Tax Lot Number:l7tJ2 ~", I ()/?oO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . A. Sinale-Family Detached NO. OF UNITS I X $3,468 per unit = $~t.(~( B. Sinale-Family Attached NO. OF UNITS X $3,538 per unit = $ . . C. Multi-Family Apartment NO. OF UNITS , X $2,906 per unit = $ D. Sinale Room Occupancy NO. OF UNITS X $1 ,453 per unit = $ E. Accessorv Dwellina Unit. NO. OF UNITS X $1,734 per unit = $ $ . WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ !lY 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ ~&'(G Y t!,? ~~~~~ ~C-- Development Services Department City of Springfield 5 . -, . S~!~~N.....~. F. IE.~ ~ ~OREGON www.ci.springfield.or.u5 TRANSACTION RECEIPT 811-SPR2010-00321 4853 A ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or,us RECEIPT NO: 2010000622 RECORD NO: 811-SPR20 I 0-00321 DATE: 10/20/2010 i",,' rDESCRIPTIONv-~, ',--,-.,',c , - < <-, - " :. -, ' ~:::~C_COUNt:Cj:fDE ~- ',- '. '~MO_UNJJl.lJJ~ SOC: Reimbursement Cost - MWMC Regional Wastewater SOC 444-00000-448024 $101.97 SOC: Improvement Cost - MWMC Regional Wastewater SOC 445-00000-448025 $1,333.57 SOC: Compliance Cost - MWMC Regional Wastewater SOC 444-00000-426607 $22.63 SOC: Administrative Fee - MWMC Regional Wastewater SOC 611-00000-426604 $10.00 SOC: Total Transportation Administration Fee 719-00000-426604 $113.01 SO~;_ Reimbursement - Transportation SOC 446-00000-448026 $356.96 Structural Builcj!':'.9 Permit Fee 224-00000-425602 $761.66 Planning - Major Review 100-00000-425002 $211.00 Admin fee (10% of applicable fees) . 224-00000-426605 $5.80 First Appliance Fee 224-00000-425604 $79.00 .single-duct exhaust (bathrooms, toilet compartments, utility roomst 224-00000-425604 $27.00 One or Two Family Dwelling with Two Bath 224-00000-425603 $374.00 Residential Fire (.05 Per Sq Foot) 1.00-00000-424005 $58.00 Address Assignment, each new or change 224-00000-425602 $38.00 Willamalane fees - Single family detached 821-00000-215023 $3,468.00 Technology lee (5% of permit total) 100-00000-425605 $63.98 State 01 Oreg~Sur~harg_e (12% o(applicable fees) 821-00000-215004 $149.00 E'ch added 500 sq. ft or portion 224-00000-426102 $25.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 $134.00 State of Oregon Surcharge (12% Of applicable lees) 821-00000-215004 $19.08 Technology lee (5% 01 permit total) 100-00000-425605 $7.95 SOC: Reimbursement Cost - Storm Drainage 441-00000-448029 $203.38 SOC: Improvement Cost - Storm Drainage 440-00000-448028 $490.71 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,614.80 SOC: Improvement Cost - Local Wastewater 443-00000-448025 $869.20 SOC: Total Sewer Administration Fee 719-00000-426604 $206.33 SOC: Impro~ement - Transportation S[)C 447-00000-448027 $1,383.63 TOTAL DUE: $12,127.66 I .- pAYnilENT-f-YPEili~t'7':PAY6R7'~{;~SHi~~:'CC6R~E~G.QMIVIENJS~~~;:';~$;:,;,c~;;f:;r-r:Kr.n6@fj>AID. .'. ,.0' -;..7:':" I Check 2893 SPRINGFIELD/EUGENE HABITAT FOR HUMANITY $12,127.66 $12,127.66 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010"00321 4853 A ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 perm i.tcenler@ci. springfield. or. us RECEIPT NO: 2010000351 RECORD NO: 81 I-SPR2010-0032 I DATE: 09/17/2010 ~~~t-Bij::>JION::r","'l0 "Tir ' 'I, ,,"'ihi':'fiih ::;":_';"""'~i<cf.c~;",\\C_C.6jJNT~c.6RE- ,.T: 1:"'0" J'~M6lJ",1t!i@ ,: _,';-' " '-,j Structural Plan Review Fee Residential 224-00000-425602 $495.08 TOTAL DUE: $495,08 .PAYMENT;fYRE':r,--iRA VOR; _:9ASHI~R;,NMACHAD.O; 'c.;COMMENTS;:t-:, 1\ ",;' :::;~;;;;iAM6uNT PA=ID- ,"."",'" j ^ _ . ~ _ _ _____,._____.___~. ~ ~~.___~._ .~_>0>_~_ Credi1 Card 666082 SPRINGFIELD/EUGENE HABITAT FOR HUMANITY $495,08 $495,08 j